Neonatal health in horses focuses on the study and understanding of the physiological and developmental processes that occur in foals from birth until they reach a few weeks of age. This field addresses various aspects of equine neonatal care, including the adaptation of the respiratory and circulatory systems post-birth, nutritional needs, and immune system development. Research often explores common neonatal conditions, such as neonatal maladjustment syndrome, sepsis, and failure of passive transfer of immunity, which can affect the health and survival of foals. This page compiles peer-reviewed research studies and scholarly articles that investigate the physiological development, common health challenges, and management practices associated with neonatal horses.
Irvine CH.Hypothyroidism in the foal occurs as two entities because of the separate actions of thyroid hormones in regulation of metabolic rate and in cell differentiation. The hypometabolic state which results in inadequate thermogenesis and lethargy, occurs concurrently with a period when thyroid hormone secretion is inadequate. Also the severity of the concurrent symptoms is related to the degree of hormone inadequacy as measured by plasma concentrations of free T4 and T3. By contrast, the developmental lesions caused by hypothyroidism are often observed during periods when plasma thyroid hormone con...
Baggot JD, Short CR.Differences between neonatal and adult animals in their response to drugs can usually be attributed to altered disposition (ie, distribution, metabolism and excretion) processes during the neonatal period. These alterations affect the plasma concentrations as well as the concentrations of drug attained at the receptor site. Some characteristics of the neonatal period include greater absorption from the gastrointestinal tract, lower extent of plasma protein binding, increased apparent volume of distribution of drugs that distribute in extracellular fluid or total body water, increased permeabil...
Stewart JH, Rose RJ, Barko AM.The effect of oxygen administration on blood gas values was examined in six newborn foals from birth to seven days old. Three variables were studied: the effect of increasing age on the ability to elevate arterial oxygen tension (Pao2), the effect of duration of oxygen delivery on Pao2 and the effect of method of administration. The results demonstrated a significant effect of age on the ability to increase Pao2 values, with the highest Pao2 values being found at seven days old. The duration of oxygen administration caused little change in Pao2 values; peak values were reached after 2 mins of ...
Braun JP, Tainturier D, Bézille P, Raviart I, Rico AG.In goat and mare colostrum, gamma-glutamyltransferase (GGT) activity is relatively low (mean values are, respectively, 900 and 350 U/l). In the serum of newborns before suckling, GGT is also low (less than or equal to 28 U/l in goats and less than or equal to U/l in foals); then in goats GGT is much increased on the 1st day (mean = 127 U/l), and it decreases during the following days. In foals, serum GGT slowly but regularly increases for the first 5 days, then decreases. Such differences can be attributed to intestinal protein absorption capabilities which are selective in newborn foals and u...
Dewes HF.Fractures of the central tarsal and/or third tarsal bones involving both limbs of six foals are described. Five of the subjects were born either premature or of twin pregnancies. Fractures occurred in the neonatal period and coincided with disablement. Features of behaviour, posture and gait are described, together with gross radiographic findings, bone ash determination and blood chemistry. Lesions observed on the articular faces of tarsal bones recovered from adult horses may have originated during the neonatal-period.
Fowden AL, Ellis L, Rossdale PD.Plasma concentrations of insulin and glucose were measured in Pony and Thoroughbred foals at birth and at intervals thereafter for up to 7 days. The plasma concentrations of insulin in foals of both breeds at birth were 11.2 +/- 2.5 microU/ml (N = 6) and 13.5 +/- 1.5 microU/ml (N = 16) respectively. These values were similar to those obtained for foals in utero but were significantly less than those in adult animals. There was little variation in the plasma concentrations of insulin and glucose during the first 2 h of life and both concentrations tended to rise in the next 24-48 h. Although th...
Chen CL, Riley AM.Serum thyroxine (T-4) and triiodothyronine (T-3) concentrations were assayed in neonatal foals (1.5 to 4 months) and mature horses (2 to 25 years old) by a modified radioimmunoassay procedure. Blood was collected from 52 clinically healthy foals and horses of various breeds (Thoroughbreds, Quarter Horses, American Saddle Horses, and a single cross-bred horse). Neonatal foals had high serum concentrations of T-4 (mean, 4.02 microgram/dl) and T-3 (192.9 ng/dl) as compared with the values in mature horses (T-4, mean of 1.76 microgram/dl; T-3, mean of 98.69 ng/dl). Stallions had slightly higher T-...
McGuire TC, Perryman LE, Banks KL.Following the descriptions of immunodeficiencies in horses beginning in 1973, there has been considerable effort to develop methods for differential diagnosis and to determine the cause and prevalence of the disorders. In addition, the equine immunodeficiencies, especially combined immunodeficiency, have been studied from a comparative viewpoint with the goal of finding information applicable to similar diseases of children. Coincident with the development of knowledge about the immunodeficiencies per se, considerable information about several aspects of immunology has been obtained. It is the...
Garel JM, Barlet JP.The plasma concentrations of calcium, inorganic phosphorus, and magnesium were studied during the early postnatal period in a rodent (rats), in ruminants (lambs and calves), and in foals. Decreases in plasma calcium after birth were observed only in newborn rats and foals. In rats the postnatal fall in plasma calcium level was already evident 1 hr after cesarean section (9.20 mg/100 ml) as opposed to 11.90 mg/100 ml in utero) and reached a nadir within 6 hr (-4.05 mg/100 ml). Newborn foals showed a small decrease in plasma calcium (-0.73/100 ml) 48 hr after birth. In the four species plasma in...
MacDougall DF.The proteins IgG and IgG(T) are the predominant immunoglobulins in equine colostrum. Their distribution and catabolism were studied in the newborn foal using an isotopic tracer technique. More precise quantitation of the absorption of these immunoglobulins from colostrum is now possible.
Gillespie JR.Respiratory function in newborn foals is discussed with particular reference to the important part played by functional residual capacity and chest wall compliance in maintaining blood gaseous exchange within normal limits.
Nathanielsz PW, Rossdale PD, Silver M, Comline RS.Fetal plasma cortisol concentrations (mean +/- S.E.M.) in ten animals with indwelling umbilical catheters ranged from 13-9 +/- 1-5 ng/ml (227 to 244 days) to 18-1 +/- 2-2 ng/ml (290 to 310 days). Maternal values did not change over this period (15-9 +/- 1-7 ng/ml). Fetal cortisol production rates in two fetuses were 3-6 and 3-8 mg/kg/day at 291 days; there was little placental transfer of cortisol. In three fetuses (319 to 321 days) plasma cortisol values 1 to 10 days before birth were higher (30 to 50 ng/ml) than in any other group, and at birth the values were comparable with those found in ...
Rossdale PD, White S.Forty-eight lungs from fetal and neonatal horses were examined for pressure-volume relationships between pressures of 0 and 40 cmH2O. The inflation-deflation curves obtained were analysed by four different methods and the stability of the lung assessed in terms of hysteresis, stability indices and volume of air retained at maximal pressure (Vmax). Differences in the shape of the deflation curve between ventilated and non-ventilated lungs were similar to findings in other species. It is postulated that breathing alters lung-tissue elasticity during the neonatal period, as demonstrated by a sign...
Rivolta AA, Bujold AR, Wilmarth PA, Phinney BS, Navelski JP, Horohov DW, Sanz MG.Neonates have different cellular composition in their bronchoalveolar lavage fluid (BALF) when compared to foals and adult horses; however, little is known about the non-cellular components of BALF. The objective of this study was to determine the proteomic composition of BALF in neonatal horses and to compare it to that of foals and adult horses. Bronchoalveolar lavage fluid samples of seven neonates (< 1 week age), four 5 to 7-week-old foals, and six adult horses were collected. Quantitative proteomics of the fluid was performed using tandem mass tag labeling followed by high resolution l...
Mackenzie CJ, Haggett EF, Pinchbeck GL, Marr CM.Ultrasonography of the atlanto-occipital (AO) space may be useful as a non-invasive diagnostic tool in neonatal foals. The aims of the study were establish a range of values for ultrasonographic measurements of the AO space in healthy Thoroughbred foals and to compare these variables in healthy foals with foals diagnosed with neonatal maladjustment syndrome (NMS). Ultrasonography of the AO space was performed on 38 healthy Thoroughbred foals and 28 Thoroughbred foals with NMS≤4days of age. Transverse image spinal cord height (P=0.001), width (P<0.001) and spinal cord cross sectional area ...
Mercier P, Alves-Branco F, Sapper Mde F, White CR.To evaluate the safety of an orally administered ivermectin and praziquantel paste with regard to variables associated with clinical findings, parturition, lactation, maternal care, and neonate viability in pregnant mares. Methods: 40 pregnant mares. Methods: Mares were randomly allocated into treatment (n = 20) and control (20) groups and administered a placebo or 3 times the therapeutic dosage of ivermectin (0.6 mg/kg) and praziquantel (4.5 mg/kg) at 14-day intervals until parturition. Physical examinations were performed on mares and their foals after parturition (on postpartum days 30, 60,...
Hallman I, Karikoski N, Kareskoski M.Obesity is a growing welfare concern in modern equine populations and predisposes horses to disturbances in energy metabolism such as insulin dysregulation. However, equine metabolic syndrome has only been recognized in recent decades. Functioning energy metabolism is pivotal to normal body homeostasis and affects essentially all organ systems, including reproduction. Previous literature suggests that obesity has an effect not only on the reproductive processes in mares but also on offspring health, predisposing the offspring to later-onset orthopedic and metabolic problems. This review focuse...
Raidal SL, Hughes KJ, Eastwell B, Noble N, Lievaart J.There is little information on foal mortality and the epidemiology of diseases in the neonatal period in Australian equine breeding enterprises. Methods: This was a prospective cohort study of 1219 foals on 15 breeding farms in south-eastern Australia to identify the proportion of foals recognised on farm as abnormal at birth or within the first 48 h postpartum, determine the prevalence and risk factors for neonatal disease and assess the subsequent performance of foals in the study population. Results: Overall, 27 foals died within 6 weeks of birth in the study population (2.2%), 142 foal...
Panzani S, Castagnetti C, Prandi A, Faustini M, Zamboni A, Veronesi MC.Insulin-like growth factor (IGF)-I represents one of the most important growth regulators, playing a central role in fetal and neonatal growth. Plasma IGF-I levels increase rapidly after birth, and they are influenced by numerous factors, including sex, age, nutritional state, and premature birth. The aims of this study were: (1) to evaluate the IGF-I plasma profile in healthy newborn foals during the first 2 weeks of life; (2) to assess the possible influence of sex and birth weight on this hormone; (3) to analyze the percentage increment of IGF-I values in healthy foals; (4) to evaluate the ...
Stewart JH, Rose RJ, Barko AM.The effect of oxygen administration on blood gas values was examined in six newborn foals from birth to seven days old. Three variables were studied: the effect of increasing age on the ability to elevate arterial oxygen tension (Pao2), the effect of duration of oxygen delivery on Pao2 and the effect of method of administration. The results demonstrated a significant effect of age on the ability to increase Pao2 values, with the highest Pao2 values being found at seven days old. The duration of oxygen administration caused little change in Pao2 values; peak values were reached after 2 mins of ...
Chaffin MK, Walker MA, McArthur NH, Perris EE, Matthews NS.Magnetic resonance imaging (MRI) was performed on the brain of 5 normal, anesthetized, neonatal (age 3-to-6 days) Quarter Horse foals. The objectives of the study were to develop a technique for imaging the brain of neonatal foals, and to ascertain their normal brain anatomy. Intravenous propofol was administered for induction and maintenance of general anesthesia. Using spin echo MR techniques, T1 weighted sagittal and transverse views, and spin density and T2 weighted transverse views were successfully made of each foal. MR images provided excellent visualization of many anatomic structures ...
Corley KT, Axon JE.Early intervention can dramatically alter outcome in foals. Cardio-pulmonary cerebral resuscitation can be successful and clinically worthwhile when applied to foals that arrest as part of the birthing process. Readily available equipment and an ordered plan starting with addressing the respiratory system (airway and breathing) followed by the circulatory system (circulation and drugs) are the keys to success. Hypoglycemia is common in foals that are not nursing and in septic foals. Support of serum glucose can be an important emergency treatment. Respiratory support with oxygen therapy should...
Kinsella HM, Hostnik LD, Snyder HA, Mazur SE, Kamr AM, Burns TA, Mossbarger JC, Toribio RE.The equine neonate is considered to have impaired glucose tolerance due to delayed maturation of the pancreatic endocrine system. Few studies have investigated insulin sensitivity in newborn foals using dynamic testing methods. The objective of this study was to assess insulin sensitivity by comparing the insulin-modified frequently sampled intravenous glucose tolerance test (I-FSIGTT) between neonatal foals and adult horses. This study was performed on healthy neonatal foals (n = 12), 24 to 60 hours of age, and horses (n = 8), 3 to 14 years of age using dextrose (300 mg/kg IV) and insulin (0....
Whittaker S, Sullivan S, Auen S, Parkin TD, Marr CM.Although low birthweight is a risk factor for neonatal illness, the impact of high birthweight on the health of foals and mares, and on the foals' long-term athletic capability, is unknown. Objective: To investigate whether: 1) foals that are excessively heavy are associated with an increased prevalence of maternal illness in the first month post partum and reproductive dysfunction in the following season; 2) excessively light or heavy foals are at an increased risk of illness in the first month of life; and 3) birthweight is associated with racing success. Methods: Veterinary records from 230...
Boyle AG, Magdesian KG, Ruby RE.To assess data regarding clinical features, clinicopathologic and blood gas variables, and outcome from horse and mule foals with confirmed neonatal isoerythrolysis (NI). Methods: Retrospective case series. Methods: 17 horse and 1 mule foals. Methods: Medical records of foals (< 14 days old) with NI were reviewed. Information collected included signalment; clinical examination findings; results of hematologic, serum and plasma biochemical, and venous blood gas analyses and urinalysis; treatments; and outcome. Results: Data from 17 horse foals and 1 mule foal with NI (mean age, 71 hours) were e...
Ousey JC, McArthur AJ, Rossdale PD.Metabolic rate, rectal temperature Tr and respiratory quotient (RQ) were determined in 16 sick foals, aged 0-182 h. The foals were categorized into three groups: premature, dysmature or those suffering from neonatal maladjustment syndrome. The mean metabolic rate of the premature foals was 71 watts per unit area of body surface (W m(-2)), significantly lower than that of the other two groups. The overall mean metabolic rate for the sick foals was 82 W m(-2), about 25% below that of healthy foals of similar age. Air temperature (Ta) was 9.5-26.3 degrees C, and several foals shivered despite the...
McClure JJ, Koch C, Traub-Dargatz J.A red cell antigen of donkeys and mules was identified using antibodies in serum from a mare which produced a mule foal affected with neonatal isoerythrolysis (NI). Subsequently antibodies with similar activity were identified in the sera of other mares which had produced mule foals and were produced by immunization of horses with blood from donkeys. The antigen detected by these antibodies does not correspond to any recognized horse red cell alloantigen. This may be a xenoantigen since all donkeys (and mules) tested have shared this antigen and all horses tested have lacked the antigen. The r...
Lyle-Dugas J, Giguère S, Mallicote MF, Mackay RJ, Sanchez LC.Neonatal encephalopathy is the most common neurological abnormality identified in neonatal foals, but its clinical course has been rarely characterised. Objective: To describe factors associated with nonsurvival in a population of foals diagnosed with neonatal encephalopathy. Methods: Retrospective cross-sectional clinical study. Methods: Cases were selected from equine neonatal (≤14 days of age) admissions between 1996 and 2007. Multivariable logistic regression was used to identify clinical parameters, laboratory variables and therapeutic interventions associated with nonsurvival. Results:...
Cordy DR.Bacterial meningoventriculitis was studied in 26 neonatal ungulates. Preceded by a substantial bacteremia, usually due to Escherichia coli, the fibrinopurulent inflammation involved leptomeninges, choroid plexuses, and ventricle walls, but largely spared the neuraxial parenchyma. It is proposed that this surface-relatedness results from the transport of bacteria by monocytes of low bactericidal power, migrating by normal pathways to maintain significant surface populations of macrophages. The neuraxial parenchyma is spared because of its normal lack of a macrophage population. A similar pathog...
Imposimato I, Mariella J, Freccero F, Gialletti R.Riboflavin/UV-A corneal cross-linking (CXL) has been applied to treat corneal ulcers in adult horses, but its use in critically ill neonatal foals has not been described. Five cases of hospitalized, critically ill neonatal foals that were in intensive care with corneal ulcers, the ophthalmic treatment, and their outcome up to 1 year are described. A single treatment of CXL phototherapy was performed in three of five foals (five eyes). The application of a riboflavin ophthalmic solution for 20 minutes was followed by the UV-A light irradiation at 30 mW/cm2 for 3 minutes. Topical antibiotic admi...
Kumar S, Kumar R, Gupta AK, Dwivedi SK.Equine babesiosis, a tick transmitted haemoprotozoan disease caused by Theileria equi is globally distributed and responsible for heavy economic losses to the equine husbandry. Equids reared in endemic areas usually pick up infection at an early age and become immune tolerant throughout their life span. We studied the level of passively transferred antibodies in neonate foals born from pre-immuned mares. Latently T. equi infected pre-immuned pony and donkey mares (three each) were selected and T. equi antibody titres in neonates was monitored till 90 days post foaling (DPF) by applying Dot-ELI...
Akköse M, Karabulut E, Yılmaz İÇ, Dik Ç, İnal Ş, Özbeyaz C, Çam M, Çınar EM, Orakçı D, Durmaz M.The objective of this cross-sectional study was to determine the accuracy of the digital Brix and serum total protein (TP) refractometers for estimating different passive immunity status in neonatal foals. In total, 18- to 40-h old purebred Arabian foals (n = 185) were used. Serum TP concentrations, total solid percentages and IgG concentrations were measured with a digital serum TP refractometer, digital Brix refractometer and the gold standard radial immunodiffusion (RID) assay, respectively. Correlation coefficients were calculated between the refractometer and RID assay results. A receiv...
Nasciutti NR, Garcia FG, da Silva ESM, de Miranda RL, Fontes LAR, Rosa JB, Headley SA, Mundim AV, Saut JPE.Several studies have demonstrated variations in peripartum blood biochemical analytes used to monitor the health status of mares and their foals of different breeds. Objective: We aimed to characterize the physiologic changes of peripartum energy and mineral metabolism in healthy Quarter Horse mares and their neonatal foals. Methods: Blood samples were initially collected from 17 mares on days 60 and 30 prepartum, and from mares and their foals on the day of parturition (after colostrum ingestion), and on days 15, 30, and 60 postpartum. The serum concentrations of calcium, phosphorus, magnesiu...
Gold JR, Cohen ND, Welsh TH.The hypothalamic-pituitary-adrenal (HPA) is influenced by the proinflammatory cytokines IL-6, IL-1β, and TNF-α in critically ill humans. Information about the association of cytokines with the HPA axis in neonatal foals is lacking. Objective: The objectives were to describe for hospitalized septic and nonseptic foals (1) temporal changes in blood concentrations of ACTH, and cortisol, and leukocyte cytokine gene expression, and (2) coassociation of these HPA axis hormones with blood leukocyte cytokine gene expression. Methods: Hospitalized septic foals (N = 15) and hospitalized nonseptic foal...
Kasap S, Babaeski S, Yildirim KN, Orman A, Temizel EM, Kennerman E.Prompt diagnosis of passive transfer failure in the neonatal period is important for early treatment. Objective: To compare the diagnostic performance of serum glutaraldehyde coagulation test (GCT) and colostrum BRIX% for failure to transfer passive immunity (FTPI) diagnosis with the results of SNAP foal test and to evaluate the results of serum GCT and colostrum BRIX% measurements in foals with diarrhoea in the 0-1 month period. Methods: In vitro experiments. Methods: Excess serum and colostrum (n: 298) from samples collected from newborn foals and their dams for clinical purposes were used...
Osterrieder K, Dorman DC, Burgess BA, Goehring LS, Gross P, Neinast C, Pusterla N, Hussey GS, Lunn DP.Equine herpes virus type 1 (EHV-1) infection in horses is associated with respiratory and neurologic disease, abortion, and neonatal death. Objective: Vaccines decrease the occurrence of clinical disease in EHV-1-infected horses. Methods: A systematic review was performed searching multiple databases to identify relevant studies. Selection criteria were original peer-reviewed research reports that investigated the in vivo use of vaccines for the prevention of disease caused by EHV-1 in domesticated horses. Main outcomes of interest included pyrexia, abortion, neurologic disease, viremia, and n...
Pusterla N, Dorman DC, Burgess BA, Goehring L, Gross M, Osterrieder K, Soboll Hussey G, Lunn DP.Equine herpesvirus type 1 (EHV-1) infection is associated with upper respiratory disease, EHM, abortions, and neonatal death. Objective: Are nasal secretions a more sensitive biological sample compared to blood for the detection of EHV-1 infection? How long is EHV-1 detectable after primary infection by PCR? Methods: MedLine and Web of Science searches identified original peer-reviewed reports evaluating nasal shedding and viremia using virus isolation methods or PCR published in English before October 9, 2023. Results: Sixty experimental and 20 observational studies met inclusion criteria. EH...
Soboll-Hussey G, Dorman DC, Burgess BA, Goehring L, Gross P, Neinast C, Osterrieder K, Pusterla N, Lunn DP.Equine herpes virus type 1 (EHV-1) infection in horses is associated with upper respiratory disease, neurological disease, abortions, and neonatal death. Objective: To determine if there is an association between the level and duration of EHV-1 viremia and either abortion or equine herpesvirus myeloencephalopathy (EHM) in domesticated horses? Methods: A systematic review was performed searching numerous databases to identify peer reviewed reports that evaluated viremia and EHM, or viremia and abortion published before January 19, 2021. Randomized controlled trials and observational studies wer...
Legere RM, Poveda C, Ott JA, Bray JM, Villafone EG, Silveira BPD, Kahn SK, Martin CL, Mancino C, Taraballi F, Criscitiello MF, Berghman L, Bordin AI....Design and evaluate immune responses of neonatal foals to a mRNA vaccine expressing the virulence-associated protein A (VapA) of Rhodococcus equi. Methods: Cultured primary equine respiratory tract cells; Serum, bronchoalveolar lavage fluid (BALF), and peripheral blood mononuclear cells (PBMCs) from 30 healthy Quarter Horse foals. Methods: VapA expression was evaluated by western immunoblot in cultured equine bronchial cells transfected with 4 mRNA constructs encoding VapA. The mRNA construct with greatest expression was used to immunize foals at ages 2 and 21 days in 5 groups: (1) 300 μg neb...
Gutiérrez Bautista ÁJ, Söbbeler FJ, Koch R, Viscasillas J, Kästner S.In neonatal equines, pathologies involving umbilical structures are an important cause of morbidity, and surgical removal of urachal remnants is a common procedure in clinical practice. Surgery involving the ventral abdominal wall can cause substantial pain, leading to complications and prolonged recovery. The objectives of this study were to describe a two-point bilateral ultrasound-guided rectus sheath block at the level of the umbilicus and to evaluate the extent of dye distribution in foal cadavers. Ten foal cadavers were included in the study, in which a bilateral two-point ultrasound-gui...
Riccio AV, Costa BK, Alonso MA, Affonso FJ, França DS, Nichi M, Belli CB, McLean AK, Boakari YL, Fernandes CB.After parturition, a rapid transition occurs from the intrauterine to the extrauterine milieu, exposing neonates to physiological circumstances characterized by oxidative conditions that instigate the generation of reactive oxygen species. These free radicals play pivotal roles in physiological processes; however, an imbalance between their production and the removal of antioxidants can result in severe cellular damage. The main objective of this study was to compare the oxidative and antioxidant profiles in mule and horse neonates immediately post-parturition, as well as at subsequent time po...
